P Praxis·MD
● Active Type 1 · Individual

DR. Wade Robert Keller, D.O.

Dermatology·Eagle, ID· NPI 1942402169 · Enumerated 2007 · 18 years on NPI
Keller is 1 of 6 dermatology providers in Eagle and 1 of 102 in Idaho.
NPI age
18 years
Enumerated 2007-06-01
Primary specialty
Dermatology
Plus 3 subspecialties
Licensed in
ID, AZ
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-11-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 102 active dermatology providers in Idaho.

NPI age
18 years
≈ at median (18 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
2
In the 37% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Practice location
1605 E Riverside Dr
Eagle, ID 836166237
📞 2089396227fax 2089396442
Mailing address
1605 E Rverside Drive
Eagle, ID 83616
📞 2089396227fax 2089396442

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    ID license #O-0559AZ license #4692 taxonomy 207N00000X
  • Dermatology
    The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased...
    ID license #O-0559 taxonomy 207ND0101X
  • Dermatology
    Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery,...
    ID license #O-0559 taxonomy 207NS0135X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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